EISNER PEDIATRIC AND FAMILY MEDICAL CENTER
NPI 1407268709
Clinic/Center - Federally Qualified Health Center (FQHC) in Lynwood, CA

Active since May 21, 2014CLIA 05D1107263 · Waiver
3680 E IMPERIAL HWY, SUITE 200, LYNWOOD, CA 90262(310) 608-4898 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 18, 2024, Jan 26, 2022, Feb 15, 2017 and 3 more (6 updates tracked since 2015).

About Eisner Pediatric And Family Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EISNER PEDIATRIC AND FAMILY MEDICAL CENTER (NPI 1407268709) is a healthcare organization registered as a federally qualified health center (fqhc) in Lynwood, California and active in the NPI registry since May 2014. The organization holds a CLIA Waiver certificate valid through November 1, 2027 and lists Monica Mccarthy, Sr Vp, Coo & Interim-ceo, as its authorized official.

NPPES Registry Identity

NPI1407268709
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePEDIATRIC AND FAMILY MEDICAL CENTER
Location Address3680 E IMPERIAL HWY, SUITE 200Lynwood, CA 90262-2659
Mailing Address3680 E Imperial Hwy, Suite 200Lynwood, CA 90262-2659 · (310) 608-4898
Organization SubpartNo
Authorized OfficialMonica MccarthySr Vp, Coo & Interim-ceo · (213) 747-5542
Enumeration DateMay 21, 2014
Last NPPES UpdateApril 18, 20246 updates tracked since enumeration
NPPES CertifiedApril 18, 2024
NPI 1407268709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
3680 E IMPERIAL HWY, Lynwood, CA 90262

Other Names 1

Doing Business AsEisner Pediatric And Family Medical Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1107263

Eisner Pediatric & Family Medical Ctr · Lynwood, CA
Active · expires Nov 1, 2027
CLIA Number05D1107263
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 2, 2025
Certificate Expiration DateNovember 1, 2027
Laboratory DirectorRaymond Perry-Moore
Laboratory Phone(213) 588-0352
Laboratory LocationEisner Pediatric & Family Medical Ctr3680 E Imperial Hwy Ste 200, Lynwood, CA 90262
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Rehabilitation Practitioner
3680 E IMPERIAL HWY
LYNWOOD, CA 90262
Community Health Worker
3680 E IMPERIAL HWY
LYNWOOD, CA 90262
Social Worker (Clinical)
3680 E IMPERIAL HWY
LYNWOOD, CA 90262
Rehabilitation Practitioner
3680 E IMPERIAL HWY, SUITE 520
LYNWOOD, CA 90262
Peer Specialist
3680 E IMPERIAL HWY
LYNWOOD, CA 90262
Internal Medicine
3680 E IMPERIAL HWY, SUITE 470
LYNWOOD, CA 90262
Surgery (Vascular Surgery)
3680 E IMPERIAL HWY, SUITE 502
LYNWOOD, CA 90262
Occupational Therapist
3680 E IMPERIAL HWY
LYNWOOD, CA 90262

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric And Family Medical Center's NPI number?

The NPI number for Pediatric And Family Medical Center is 1407268709. It was assigned to this organization in the NPPES registry on May 21, 2014. The provider is doing business as Eisner Pediatric And Family Medical Center.

Where is Pediatric And Family Medical Center located?

Pediatric And Family Medical Center is located at 3680 E Imperial Hwy Suite 200, Lynwood, CA 90262. The listed phone number is (310) 608-4898.

What is Pediatric And Family Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Pediatric And Family Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1107263) is associated with this NPI, valid through November 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pediatric And Family Medical Center was last updated on April 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.